Sullivan, Matthew Tyler

Sullivan, Matthew Tyler is an individual health care provider with primary practice located at 40950 Chapel Way , Fremont CA 94538-4236. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Sullivan, Matthew Tyler can be contacted via phone (510) 226-6180.

Contact Information

Primary practice address
40950 Chapel Way Fremont CA 94538-4236
Phone: (510) 226-6180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1881802809
LBN Legal business name Sullivan, Matthew Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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